Ureteroscopic Kidney Stone Removal

WHAT YOU SHOULD KNOW:

Ureteroscopy is a procedure done to remove kidney stones.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

You may bleed more than expected or get an infection. You may have trouble breathing or get blood clots. You may need surgery or another procedure if the stone was not small enough to pass in your urine. Your ureter could be torn or damaged during this procedure. Your ureter may grow scar tissue after the procedure and block the flow of urine. Kidney stones can cause a kidney infection and stop urine from moving out of your kidney. Without treatment, your kidneys could stop working. This could become life threatening.

WHILE YOU ARE HERE:

Before your procedure:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • A KUB x-ray may be done before your procedure. An x-ray machine is used to take pictures of your kidneys, ureters, and bladder. Your caregivers look at these pictures to see where the kidney stone is located before your procedure.

  • Anesthesia is medicine to make you comfortable during the procedure. Caregivers will work with you to decide which anesthesia is best for you.

    • General anesthesia will keep you asleep and free from pain during the procedure. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Local anesthesia is a shot of medicine put into the area where your procedure will be done. It is used to numb the area and dull the pain. You may still feel pressure or pushing during the procedure.

During your procedure:

Caregivers put your feet and legs into stirrups or leg holders. A ureteroscope is put through your urethra and bladder into your ureter. The ureteroscope is a long thin tube with a light and magnifying glass on the end. Your doctor will put instruments such as tiny forceps through the ureteroscope to grab and remove small stones. Larger stones are shattered with a tool such as a drill, ultrasound, or laser. These tiny pieces of stone will be passed in your urine in the next few days.

After your procedure:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

  • You may need to walk around the same day of the procedure, or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your caregiver says you can. Talk to caregivers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let caregivers know you need help.

  • Deep breathing and coughing will decrease your risk for a lung infection. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath. Then let the air out and cough. Repeat these steps 10 times every hour.

  • You may need to wear pressure stockings or inflatable boots after your procedure. The stockings are tight and put pressure on your legs. The boots have an air pump that tightens and loosens different areas of the boots. Both of these improve blood flow and help prevent clots.

  • You will be able to drink liquids and eat certain foods once your stomach function returns after your procedure. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • Drinking plenty of liquids as directed. This helps clean out any remaining small pieces of stone. Limit the amount of caffeine you drink. Caffeine may be found in coffee, tea, soda, and sports foods and drinks.

  • Intake and output of liquids may be measured. Caregivers will keep track of the amount of liquid you are getting. They also may need to know how much you are urinating. Ask how much liquid you should drink each day. Ask caregivers if they need to measure or collect your urine. Caregivers may also need to strain your urine to check for stones. Do not flush your urine down the toilet unless caregivers say it is okay.

  • Medicines:

    • Antibiotics help prevent a bacterial infection.

    • Antinausea medicine helps calm your stomach and prevents vomiting.

    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

    • Stool softeners make it easier for you to have a bowel movement. You may need this medicine to treat or prevent constipation.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Ureteroscopic Kidney Stone Removal (Inpatient Care)

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